HomeMy WebLinkAboutBLD9925 Final Woodstove - BLD Permit / Conditions - 8/13/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 4
DATE ISSUED
PERMIT NO. /
57—
OWNER NAME MAIL ADDRESS CITY 3 STAT ZIP PHONE
1C4"1_v-9 4- 13 M/� -(' 1YF 11 6S1 No. SNe � B�R9,r2 W(A• q 4S1
DIRECTIONS Nf-
TO JOB SITE �•6, fIL i-�i�1 �A,1 �=/4�, 0 N /`l .E -5/fOWE, hEoab
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 7 Q� 60v i 1-0 f 2 2G , zz . 3 . /+Aso✓2 ,9- ems,
NAME MAIL ADDRESS CITY h STATE LICENSE NO. PHONE
CONTRACTORUSE OF /� MYSFAF r'{-S /9 4V�
BUILDING t2� t7> aN "� — 1 -61-rF ,
Class of work: ❑ NEW V.ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
IN S r,9-�L 4 1-170 D I37 . l8 0 0 "l26 LO (c 0(0-9 V"/"& S 76 r e )N F� r 1O0')l
W,T14 /4mUj2I-YWTI% S1i9-"0A-(LZ C F-411rW(r /H5W0-77Wl1/1T 07,9-/ZK, P"4
S'r~L6-0,S' S,fFFt PfPF- ,=EMI 0EJL/NG-T0a6dVf f�b'0F= 7t7 Sl�j�lLl�/4 R(�8f02 qit Us/"(r DH
1lr11>14 ON-b" S-10y, 3~ S-Mllr PiPiZ- 6" Di,4 7goP7 S>ove 7-0 L'- �r,4StlPPo/L;
Valuation f work: $ ELAN CHECK FEE PERMIT FEW 65C
srov� s31.86 �iP�, ,{ K oa �o -i6 i-g6 �' .t
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ElYit. ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
El S1 NO. OF STORIES BASEMENT o OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT. ?
which this permit is issued and that all work done will ROAD ACCESS
be in conforman MOTOR VEHICLE PERMIT
e erewith.
7 td a Z. APPLICATION ACCEPTED BY P HECK BY APPROVE' R ISSUANCE
p ate. B
CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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Shorelines: d
Setback:
Special Conditions:
f
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:0 8 /3 9-0
Stop Work:
Mobile Home:
Remarks: